title: Right putamen hemorrhage manifesting as apraxia of eyelid opening.
abstract: OBJECTIVE
  The purpose of this report is to demonstrate a rare clinical manifestation of apraxia eyelid opening related to a basal ganglia lesion.
  
  
  METHODS
  In this study, we report a 91-year-old woman suffering from difficulty in eyelid opening after being treated for myocardial ischemia with dual antiplatelet medications. She could open her eyelid with fingers touching her forehead. Brain computed tomography revealed a right putamen hemorrhage. Surface electromyography revealed persistent frontalis muscle contraction during relaxation of orbicularis oculi muscles. Apraxia of eyelid opening was diagnosed. Her eyelid symptom resolved 2 months later.
  
  
  CONCLUSIONS
  Apraxia of eyelid opening may be caused by subcortical hemorrhage of the basal ganglia. In addition to the primary motor cortex and supplemental motor area, the basal ganglia may also play a role in eyelid opening.
authors.affiliation: Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors.forename: Yi-Hui
authors.initials: YH
authors.lastname: Lin
authors.forename: Li-Min
authors.initials: LM
authors.lastname: Liou
authors.forename: Chiou-Lian
authors.initials: CL
authors.lastname: Lai
authors.forename: Yang-Pei
authors.initials: YP
authors.lastname: Chang
keywords: basal ganglia; frontalis muscle; intracranial hemorrhage; orbicularis oculi muscle